Individual
KYLE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KCPM
Contact information
Practice address
2017 S CHAUTAUQUA AVE, WICHITA, KS 67211-5615
(316) 312-8557
Mailing address
2017 S CHAUTAUQUA AVE, WICHITA, KS 67211-5615
(316) 312-8557
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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